MEDICARE: KAREN WETZEL LMSW,ACSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	6801077223	MI

General Provider Information

NPI Number	:	1265925788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN WETZEL LMSW,ACSW

Provider Business Mailing Address
First Line	:	25735 YORK RD
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48067-3019
Country	:	US
Telephone Number	:	586-292-7214
Fax Number	:

Provider Business Practice Location Address
First Line	:	25735 YORK RD
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48067-3019
Country	:	US
Telephone Number	:	586-292-7214
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2018
Last Update Date	:	06/09/2026

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